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>Effects of a Death Education Intervention for Older People with Chronic Disease and Family Caregivers: A Quasi-Experimental Study
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Effects of a Death Education Intervention for Older People with Chronic Disease and Family Caregivers: A Quasi-Experimental Study
PurposeTo investigate the effectiveness of a structured death education program for older adults with chronic illness and their family caregivers.MethodsThis study adopted two-group, nonrandomized quasi-experimental design. Patient–caregiver dyads in the intervention group (N?=?40 dyads) engaged in the death education program at the bedside once a week for 5 weeks, and were compared with participants (N?=?40 dyads) in the control group who received usual health education. The program consisted of five sessions based on the Interaction Model of Client Health Behavior. Death attitude, death competence, well-being, family function, and satisfaction were measured at baseline (T0), immediately after the intervention (T1), and 1 month later (T2). Data collection was conducted from July 30, 2019, to December 30, 2019.ResultsThe intention-to-treat analysis The intention-to-treat analysis of between groups at 1-month follow-up revealed that the intervention group had greater decreases in the fear of death (p=.002, 95% CI -2.53, -0.47;p<.001, 95% CI -3.61, -1.65) and death avoidance (p<.001, 95% CI -3.46, -1.84;p<.001, 95% CI -3.89, -2.43), had greater increases in the neutral acceptance (p=.032, 95% CI 0.05, 1.38;p<.001, 95% CI 0.99, 2.56) and death competence (p<.001, 95% CI 4.10, 8.01;p<.001, 95% CI 7.80, 12.11) in patients and caregivers, respectively. There were significant intergroup differences over time for patient well-being of (p<.001, 95% CI 3.06, 9.74) and satisfaction of (p<.001, 95% CI 2.01, 4.59). Results were consistent with the results from the sensitivity analysis.ConclusionThis study demonstrated the feasibility and benefits of death education in hospitals and provided an implementation plan for nursing professionals. Nurses should consider providing death education for older adults with chronic diseases and their families to promote the development of palliative care and the quality of end-of-life.
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机译：PurposeTo调查结构化死亡教育计划的有效性为老年人慢性病患者和他们的家庭caregivers.MethodsThis研究采用了双组，非随机准实验设计。干预组患者照顾者二人组合（N？=？40个二人组合）从事死亡教育计划在床边，每周一次，连续5周，并与对照组的受试者（N？=？40个二人组合）进行比较谁接受常规健康教育。该方案基于客户端健康行为的交互模型由五个会议。死亡的态度，死亡的能力，幸福感，家庭功能和满意度在基线（T0）测量，干预（T1）后，1个月后（T2）。数据收集是从2019年7月30日，进行到12月30日，2019.ResultsThe意向处理分析，在该意向处理分析的群体之间的1个月的随访发现，干预组有较大的减少害怕死亡的（p值= 0.002; 95％CI -2.53，-0.47; p <0.001; 95％CI -3.61，-1.65）和避免死亡（p <0.001; 95％CI -3.46，-1.84; p <0.001; 95％CI -3.89，-2.43），曾在中性验收（p值= 0.032; 95％CI 0.05，1.38更大的增加; p <0.001; 95％CI 0.99，2.56）和死亡的能力（p <0.001; 95％CI 4.10，8.01; p <0.001; 95％CI 7.80，12.11）在分别患者和护理人员。有随时间显著间差异为患者幸福感（P <0.001; 95％CI 3.06，9.74）和（p <0.001，95％CI 2.01，4.59）的满意的。结果与从灵敏度analysis.ConclusionThis研究结果一致表现在医院的可行性和死亡教育的好处和提供护理人才的执行计划。护士应考虑老年人慢性病患者和他们的家属提供死亡教育促进姑息治疗的发展和结束的生活质量。
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